ADHD Medication and Pregnancy
Psychiatrists often encounter women who are trying to conceive or are expecting and worried about the effects of their ADHD medication on their baby. The good news is that research suggests it is safe to take stimulant medications throughout the pregnancy.
The findings are based upon naturalistic studies that include a large sample of first-trimester exposures.
Pregnancy
Women are excited about pregnancy and the birth of a baby, but they may worry about the way their ADHD medication will affect their unborn child. Some doctors advise their patients to stop taking stimulant medications during pregnancy or when trying to conceive. Many people with ADHD need their medication in order to function and may struggle in this time without it.
A recent Danish study found that exposure to methylphenidate within the first trimester (in the form of a redeemed medication) did not appear to increase the risk of malformations that cause major damage when compared with the control group that didn't receive redeemed medications during the first trimester. The study utilized registry-based data from various Danish databases to identify pregnant women and their medical history before and during pregnancy, including information on whether the woman was being treated for ADHD.
The researchers tracked 898 babies born to mothers exposed to methylphenidate and other stimulants during the first trimester of pregnancy. They were compared to 1,270 babies in the group that did not receive methylphenidate, or any other stimulant medication in the first three months of pregnancy.
Both infants underwent an extensive assessment of fetal heart defects, such as gastroschisis or omphalocele. The results showed that babies born to mothers who were exposed to methylphenidate during pregnancy didn't exhibit any higher rates as compared to the controls. This was true for the first and second pregnancy trimesters.
This is a promising result that could be a source of comfort for pregnant women who are taking ADHD medication and who may wish or need to continue their treatment throughout the pregnancy. It is important to remember that this study did not examine the effects of other medications or lifestyle changes on a fetus, and that other studies have shown an connection between the use of stimulants and adverse pregnancy outcomes, like having a caesarean delivery, or the baby needing assistance to breathe at birth.
Breastfeeding
Many women who have ADD or ADHD find that breastfeeding is beneficial for their child even if they need to take medication to manage their symptoms. The mother and baby must be healthy and well-nourished. Therefore the decision to breastfeed or use ADHD medications should be formulated with the assistance from a health professional. Based on the most recent guidelines and research1 women don't have to stop breastfeeding in order to take the prescribed medication. In non prescription adhd medication , numerous studies have shown that the long-term neurodevelopmental effects on the baby are not significant if the mother takes her ADHD medication as prescribed.
Stimulants are the most commonly used treatment for ADHD, including methylphenidate (with brand names Ritalin and Concerta) and dexamfetamine (brand name Vyvanse). They come in two forms: immediate-release which lasts up to four hours; and extended-release which is taken once daily in the morning and can last up to sixteen hours. Many people suffering from ADD or ADHD find that the most effective way to manage their symptoms is to supplement the extended-release medication with immediate-release pills in the evening or in the afternoon.
Some medications are not suitable for breastfeeding, for example, clonidine, which reduces prolactin secretion and decreases the production of milk. Some people with ADD or ADHD aren't ready to stop breastfeeding due to this reason and choose to switch their medication to a different stimulant or non-stimulant, like guanfacine or atomoxetine. These medications have lower RIDs and are more likely to be covered under the Pharmaceutical Benefits Scheme. non prescription adhd medication uk is important to speak with an GP or a specialist if are considering switching your medication during pregnancy, breastfeeding or in the early postpartum period. They can give you information on the most secure medication and how to track your infant's growth and weight. The doctor or specialist may assist with referral to a psychiatrist or psychologist for additional support. They can also refer you to a dietitian for help with nutrition and diet.
Postpartum
During pregnancy, women experience immense physical, hormonal and emotional changes. For some women experiencing the transition to motherhood can bring feelings of happiness, joy and love, but also anger and sadness, or even anxiety. This is normal and it is crucial to ensure that the new mom receives support from loved ones and her health care provider and/or an expert in mental health if she is experiencing difficulties.
The birth of a child can be exciting and overwhelming, but there is no reason why a new mother should feel that she must do it by herself. Finding the balance can be difficult, but you can help yourself by taking time to rest and get a good night's sleep. It is also crucial to schedule your postpartum checkups since they can detect any issues that could be developing early on.
Some women experience a brief period of depression or anxiety after the birth of their child, which is called the "baby blues." This is a normal occurrence that usually goes away by itself within around a week. However, for some, these feelings can become more serious and last for longer. This is called postpartum depressive disorder and is treatable. If a woman has had anxiety or depression before the birth of her child, she is at a higher risk of developing it again after the birth of her baby.
In a few instances women can develop postpartum psychosis, which is very dangerous for the mother and the child. This is a psychiatric crisis that should be treated promptly. Treatment can consist of a combination of medication and therapy. A therapist with experience in this type of illness could be beneficial. If the symptoms are severe electroconvulsive therapy (ECT) may be recommended.
If a mother experiencing postpartum psychosis, the doctor will likely prescribe an antipsychotic drug such as lithium or valproate and an antidepressant such as citalopram. They may also recommend cognitive behavioral therapy to treat the root causes. Tricyclic antidepressants, such as nortriptyline and imipramine, are sometimes prescribed but can cause serious side effects. They are typically prescribed if other treatments have failed.
Adolescence
Adolescence is a crucial time for cognitive, physical, and psychosocial development. Adolescence is a period of rapid growth in terms of cognitive, physical and psychosocial development. Adolescents are interested in expanding their social circle beyond the immediate family, to include their friends, peers and acquaintances. Their social networks may also include people from team activities, student organizations, or even jobs.
As we grow older, the changes in brain connectivity and structure occur in conjunction with the increase in experience, knowledge, and changing social demands, resulting in rapid cognitive growth. This includes improvements in selective and divided focus (the ability to focus on multiple things at the same time) as well as working memory and long-term memory. In knowing it to think abstractly and morally improves.
These cognitive changes are accompanied by hormonal changes that make adolescents more attracted by exciting and new experiences. Their hormones also cause them to seek out experiences that will increase their status in the public's eyes. This desire for new experiences can be harnessed in positive ways for example, by participating in an upcoming school play or getting involved in a volunteer activity for the community. It is also possible to take healthy risks for example, like exploring sexual activity or other risky behaviors when they are in a safe and secure environment.
Variable rates of physical development can lead to awkward stages of appearance as adolescents enter adolescence as well as feelings of self-consciousness or anxiety about the changes in their bodies. In certain cultures, such as those of Aboriginal or Torres Strait Islander, adolescence is a time when young people are able to establish their identity in relation to their clans, families, their nations as well as their ancestors and their country.
Relationships between teens and friends can either be a source for support or conflict. The quality of these relationships is crucial for the health of adolescents and could be an important element in their happiness and well-being. The adolescent's relationship with their parents can also be a source of support, particularly if they can work out family problems together in a non-confrontational way.